Archer, Jamie L

Archer, Jamie L is an individual health care provider with primary practice located at 4444 Forest Park Ave Dept Occupational Therapy, Ste 2210, Saint Louis MO 63108-2212. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Archer, Jamie L can be contacted via phone (314) 286-1669.

Contact Information

Primary practice address
4444 Forest Park Ave Dept Occupational Therapy, Ste 2210 Saint Louis MO 63108-2212
Phone: (314) 286-1669
Fax: (314) 289-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2009026757 Missouri

Profile Details

NPI number 1912301417
LBN Legal business name Archer, Jamie L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2014
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912301417 NPPES
Missouri MEDICAID 470052934

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